Fatalism and ICD-11 CPTSD and PTSD diagnoses: results from Nigeria, Kenya & Ghana

Background Existing research on post-traumatic sequelae suggests a positive association between fatalism and symptoms of post-traumatic stress disorder (PTSD). However, the associations between fatalism and the new ICD-11 diagnosis of complex PTSD (CPTSD) have never been explored before. Objective T...

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Autores principales: Yafit Levin, Rahel Bachem, Yuval Palgi, Philip Hyland, Thanos Karatzias, Mark Shevlin, Menachem Ben-Ezra, Andreas Maercker
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Publicado: Taylor & Francis Group 2021
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Acceso en línea:https://doaj.org/article/a448e87dae5d41a3915cf8aa05545ffd
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spelling oai:doaj.org-article:a448e87dae5d41a3915cf8aa05545ffd2021-11-11T14:23:42ZFatalism and ICD-11 CPTSD and PTSD diagnoses: results from Nigeria, Kenya & Ghana2000-806610.1080/20008198.2021.1988452https://doaj.org/article/a448e87dae5d41a3915cf8aa05545ffd2021-01-01T00:00:00Zhttp://dx.doi.org/10.1080/20008198.2021.1988452https://doaj.org/toc/2000-8066Background Existing research on post-traumatic sequelae suggests a positive association between fatalism and symptoms of post-traumatic stress disorder (PTSD). However, the associations between fatalism and the new ICD-11 diagnosis of complex PTSD (CPTSD) have never been explored before. Objective The current study explored the association between fatalism and PTSD and CPTSD in samples from three African countries. Methods A total of 2,524 participants from Nigeria (n = 1018), Kenya (n = 1006), and Ghana (n = 500) completed measures of fatalism (non-judgemental fatalism, current fatalism, pessimistic fatalism, prospective fatalism) and the International Trauma Questionnaire (ITQ). A combination of a multinomial regression and path analysis was used to identify fatalism predictors of PTSD and CPTSD versus no diagnosis, and CPTSD versus PTSD, adjusted for demographic variables and trauma exposure. Results While PTSD was not predicted by any of the fatalism types, compared to no diagnosis, CPTSD was significantly predicted by pessimistic, non-judgemental and current fatalism, both compared to no diagnosis and PTSD. Conclusions The results broaden the knowledge on potential correlates of the new diagnosis of CPTSD. Addressing fatalistic beliefs by empowering people to think that they can choose their fate should be further explored as a possible target for intervention in the treatment of CPTSD.Yafit LevinRahel BachemYuval PalgiPhilip HylandThanos KaratziasMark ShevlinMenachem Ben-EzraAndreas MaerckerTaylor & Francis Grouparticletraumapost-traumatic stress disordercomplex post-traumatic stress disorderfatalismPsychiatryRC435-571ENEuropean Journal of Psychotraumatology, Vol 12, Iss 1 (2021)
institution DOAJ
collection DOAJ
language EN
topic trauma
post-traumatic stress disorder
complex post-traumatic stress disorder
fatalism
Psychiatry
RC435-571
spellingShingle trauma
post-traumatic stress disorder
complex post-traumatic stress disorder
fatalism
Psychiatry
RC435-571
Yafit Levin
Rahel Bachem
Yuval Palgi
Philip Hyland
Thanos Karatzias
Mark Shevlin
Menachem Ben-Ezra
Andreas Maercker
Fatalism and ICD-11 CPTSD and PTSD diagnoses: results from Nigeria, Kenya & Ghana
description Background Existing research on post-traumatic sequelae suggests a positive association between fatalism and symptoms of post-traumatic stress disorder (PTSD). However, the associations between fatalism and the new ICD-11 diagnosis of complex PTSD (CPTSD) have never been explored before. Objective The current study explored the association between fatalism and PTSD and CPTSD in samples from three African countries. Methods A total of 2,524 participants from Nigeria (n = 1018), Kenya (n = 1006), and Ghana (n = 500) completed measures of fatalism (non-judgemental fatalism, current fatalism, pessimistic fatalism, prospective fatalism) and the International Trauma Questionnaire (ITQ). A combination of a multinomial regression and path analysis was used to identify fatalism predictors of PTSD and CPTSD versus no diagnosis, and CPTSD versus PTSD, adjusted for demographic variables and trauma exposure. Results While PTSD was not predicted by any of the fatalism types, compared to no diagnosis, CPTSD was significantly predicted by pessimistic, non-judgemental and current fatalism, both compared to no diagnosis and PTSD. Conclusions The results broaden the knowledge on potential correlates of the new diagnosis of CPTSD. Addressing fatalistic beliefs by empowering people to think that they can choose their fate should be further explored as a possible target for intervention in the treatment of CPTSD.
format article
author Yafit Levin
Rahel Bachem
Yuval Palgi
Philip Hyland
Thanos Karatzias
Mark Shevlin
Menachem Ben-Ezra
Andreas Maercker
author_facet Yafit Levin
Rahel Bachem
Yuval Palgi
Philip Hyland
Thanos Karatzias
Mark Shevlin
Menachem Ben-Ezra
Andreas Maercker
author_sort Yafit Levin
title Fatalism and ICD-11 CPTSD and PTSD diagnoses: results from Nigeria, Kenya & Ghana
title_short Fatalism and ICD-11 CPTSD and PTSD diagnoses: results from Nigeria, Kenya & Ghana
title_full Fatalism and ICD-11 CPTSD and PTSD diagnoses: results from Nigeria, Kenya & Ghana
title_fullStr Fatalism and ICD-11 CPTSD and PTSD diagnoses: results from Nigeria, Kenya & Ghana
title_full_unstemmed Fatalism and ICD-11 CPTSD and PTSD diagnoses: results from Nigeria, Kenya & Ghana
title_sort fatalism and icd-11 cptsd and ptsd diagnoses: results from nigeria, kenya & ghana
publisher Taylor & Francis Group
publishDate 2021
url https://doaj.org/article/a448e87dae5d41a3915cf8aa05545ffd
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